Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

HOLY CROSS HOSPITAL

Silver Spring, MD · CCN 210004 · Rates published

23,622 distinct procedures filed
37 distinct payers
2,652,872 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

2,586,883 of 2,652,872 rate rows are consumer-grade (97.5%)

65,989 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 52,017
template filing: same amount across many unrelated codes — excluded 13,660
percent-of-charges filed in the dollar field — excluded from medians 312

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/holycrosshospital-silverspring
Found on page https://www.holycrosshealth.org/for-patients/billing-financial-assistance-and-insurance/charge-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint ebaa5efd0ce3df52… · 43,926,788 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J2326
HCPCS 		Inj Nusinersen 0.1mg 36 $312,053.67 $350,861.03 $334,203.99 nat. median
$2,675
outlier · 124.9×
27100000002-816
CDM 		Glove Vinyl Powder Free Lg 36 $146,585.21 $164,814.71 $156,990.18 nat. median
$81,142
1.9× median
27800000002-88968
CDM 		Device Impella 5.5 Smartassist 36 $128,773.13 $144,787.50 $137,913.75 nat. median
$71,282
1.9× median
27800000002-88967
CDM 		Device Impella 5.5 Smartassist 36 $128,773.13 $144,787.50 $137,913.75 nat. median
$71,282
1.9× median
27200000002-30479
CDM 		Stylet Steerable 30cm 36 $122,371.49 $137,589.75 $131,057.72 nat. median
$202
outlier · 648.4×
27800000002-91547
CDM 		Graft Bn Canc Crsh Frzdr 30ml 36 $121,847.99 $137,001.15 $130,497.06 nat. median
$67,449
1.9× median
J1747
HCPCS 		Injection Spesolimab-sbzo 1 Mg 36 $118,022.26 $132,699.65 $126,399.77 nat. median
$94
outlier · 1347.8×
J7330
HCPCS 		Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 36 $100,588.32 $113,097.60 $107,728.32 nat. median
$76,329
1.4× median
27800000002-89097
CDM 		Valve Sapien Thv Edwards Resilia 29mm 36 $97,295.25 $109,395.00 $104,201.50 nat. median
$53,858
1.9× median
27800000002-89098
CDM 		Valve Sapien Thv Edwards Resilia 26mm 36 $97,295.25 $109,395.00 $104,201.50 nat. median
$53,858
1.9× median
27800000002-89096
CDM 		Valve Sapien Thv Edwards Resilia 23mm 36 $97,295.25 $109,395.00 $104,201.50 nat. median
$53,858
1.9× median
27800000002-89099
CDM 		Valve Sapien Thv Edwards Resilia 20mm 36 $97,295.25 $109,395.00 $104,201.50 nat. median
$53,858
1.9× median
27800000002-90555
CDM 		Valve Aort 26mm Evolutr 36 $94,433.63 $106,177.50 $101,136.75 nat. median
$52,274
1.9× median
27800000002-90659
CDM 		Valve Sapien 3 Thv 29mm W/command System 36 $93,002.81 $104,568.75 $99,604.38 nat. median
$51,482
1.9× median
27800000002-90653
CDM 		Valve Sapien 3 Thv 20mm W/command System 36 $93,002.81 $104,568.75 $99,604.38 nat. median
$51,482
1.9× median
27800000002-91237
CDM 		Valve Sapien 3 Ultra Thv 26mm W/command System 36 $93,002.81 $104,568.75 $99,604.38 nat. median
$51,482
1.9× median
27800000002-88988
CDM 		Valve Hrt Sapien 3 Ultra 26mm 36 $93,002.81 $104,568.75 $99,604.38 nat. median
$51,482
1.9× median
27800000002-91236
CDM 		Valve Sapien 3 Ultra Thv 26mm W/command System 36 $93,002.81 $104,568.75 $99,604.38 nat. median
$51,482
1.9× median
27800000002-91233
CDM 		Valve Sapien 3 Ultra Thv 23mm W/command System 36 $93,002.81 $104,568.75 $99,604.38 nat. median
$51,482
1.9× median
27800000002-90655
CDM 		Valve Sapien 3 Thv 23mm W/command System 36 $93,002.81 $104,568.75 $99,604.38 nat. median
$51,482
1.9× median
27800000002-91231
CDM 		Valve Sapien 3 Ultra Thv 20mm W/command System 36 $93,002.81 $104,568.75 $99,604.38 nat. median
$51,482
1.9× median
27800000002-90657
CDM 		Valve Sapien 3 Thv 26mm W/command System 36 $93,002.81 $104,568.75 $99,604.38 nat. median
$51,482
1.9× median
27800000002-91234
CDM 		Valve Sapien 3 Ultra Thv 23mm W/command System 36 $93,002.81 $104,568.75 $99,604.38 nat. median
$51,482
1.9× median
27800000002-88987
CDM 		Valve Hrt Sapien 3 Ultra 23mm 36 $93,002.81 $104,568.75 $99,604.38 nat. median
$51,482
1.9× median
27800000002-89078
CDM 		Valve Aortic 34mm Evolut Fx 36 $86,277.99 $97,007.63 $92,402.21 nat. median
$47,759
1.9× median
27800000002-90156
CDM 		Kit Mitraclp 1 Sgc0301 Cds0501 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-90153
CDM 		Kit Mitraclip 1 Mbr0301 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-90558
CDM 		Valve Aort 29mm Pro Perc 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-90154
CDM 		Kit Mitraclip 1 Mbr0301 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-90151
CDM 		Kit Mitraclip 1 Mbr0101 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-91555
CDM 		Kit Mitraclip 2 Mbr0202 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-90152
CDM 		Kit Mitraclip 1 Mbr0201 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-90157
CDM 		Kit Mitraclp 2 Sgc0301 Cds0501 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-89075
CDM 		Valve Aortic 26mm Evolut Fx 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-89080
CDM 		Valve Aortic 23mm Evolut Fx 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-91517
CDM 		Kit Mitraclip G4 Delivery Sys Nt 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-91247
CDM 		Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-90158
CDM 		Kit Mitraclp 3 Sgc0301 Cds0501 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-89076
CDM 		Valve Aortic 29mm Evolut Fx 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-91435
CDM 		Kit Mitraclip 1 Mbr0303 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-91511
CDM 		Kit Mitraclip G4 Delivery Sys Xtw 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-90556
CDM 		Valve Aort 26mm Pro Perc 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-90559
CDM 		Valve Aort 34mm Evolutr 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-90837
CDM 		Valve Aortic Evolut Tm Pro 29mm 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-90155
CDM 		Kit Mitraclip 3 Mbr0203 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27800000002-91556
CDM 		Kit Mitraclip 2 Mbr0202 36 $85,848.75 $96,525.00 $91,942.50 nat. median
$47,522
1.9× median
27200000002-21552
CDM 		Hemostat D Stat Flowable 0330 36 $77,043.75 $86,625.00 $82,512.50 nat. median
$80
outlier · 1037.0×
C1824
HCPCS 		Kit Ipg Optimizer Smart Mini 36 $74,402.25 $83,655.00 $79,683.50 nat. median
$37,950
outlier · 2.1×
27800000002-91577
CDM 		Implant Gammatile Therapy Device 4pk 36 $74,402.25 $83,655.00 $79,683.50 nat. median
$41,185
1.9× median
A9542
HCPCS 		Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 36 $73,770.05 $82,944.18 $79,006.43 nat. median
$3,656
outlier · 21.6×

Other procedures at this hospital

Browse this hospital's 23,622 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J2326 HCPCS Inj Nusinersen 0.1mg 61 36 $354,405.08 — $312,053.67 $350,861.03 $334,203.99 2025-01-01
27100000002-816 CDM Glove Vinyl Powder Free Lg 61 36 $166,479.51 — $146,585.21 $164,814.71 $156,990.18 2025-01-01
27800000002-88967 CDM Device Impella 5.5 Smartassist 61 36 $146,250.00 — $128,773.13 $144,787.50 $137,913.75 2025-01-01
27800000002-88968 CDM Device Impella 5.5 Smartassist 61 36 $146,250.00 — $128,773.13 $144,787.50 $137,913.75 2025-01-01
27200000002-30479 CDM Stylet Steerable 30cm 61 36 $138,979.55 — $122,371.49 $137,589.75 $131,057.72 2025-01-01
27800000002-91547 CDM Graft Bn Canc Crsh Frzdr 30ml 61 36 $138,385.00 — $121,847.99 $137,001.15 $130,497.06 2025-01-01
J1747 HCPCS Injection Spesolimab-sbzo 1 Mg 61 36 $134,040.05 — $118,022.26 $132,699.65 $126,399.77 2025-01-01
J7330 HCPCS Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 61 36 $114,240.00 — $100,588.32 $113,097.60 $107,728.32 2025-01-01
27800000002-89096 CDM Valve Sapien Thv Edwards Resilia 23mm 61 36 $110,500.00 — $97,295.25 $109,395.00 $104,201.50 2025-01-01
27800000002-89099 CDM Valve Sapien Thv Edwards Resilia 20mm 61 36 $110,500.00 — $97,295.25 $109,395.00 $104,201.50 2025-01-01
27800000002-89097 CDM Valve Sapien Thv Edwards Resilia 29mm 61 36 $110,500.00 — $97,295.25 $109,395.00 $104,201.50 2025-01-01
27800000002-89098 CDM Valve Sapien Thv Edwards Resilia 26mm 61 36 $110,500.00 — $97,295.25 $109,395.00 $104,201.50 2025-01-01
27800000002-90555 CDM Valve Aort 26mm Evolutr 61 36 $107,250.00 — $94,433.63 $106,177.50 $101,136.75 2025-01-01
27800000002-91231 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 61 36 $105,625.00 — $93,002.81 $104,568.75 $99,604.38 2025-01-01
27800000002-88987 CDM Valve Hrt Sapien 3 Ultra 23mm 61 36 $105,625.00 — $93,002.81 $104,568.75 $99,604.38 2025-01-01
27800000002-91234 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 61 36 $105,625.00 — $93,002.81 $104,568.75 $99,604.38 2025-01-01
27800000002-88988 CDM Valve Hrt Sapien 3 Ultra 26mm 61 36 $105,625.00 — $93,002.81 $104,568.75 $99,604.38 2025-01-01
27800000002-91236 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 61 36 $105,625.00 — $93,002.81 $104,568.75 $99,604.38 2025-01-01
27800000002-90653 CDM Valve Sapien 3 Thv 20mm W/command System 61 36 $105,625.00 — $93,002.81 $104,568.75 $99,604.38 2025-01-01
27800000002-91233 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 61 36 $105,625.00 — $93,002.81 $104,568.75 $99,604.38 2025-01-01
27800000002-91237 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 61 36 $105,625.00 — $93,002.81 $104,568.75 $99,604.38 2025-01-01
27800000002-90657 CDM Valve Sapien 3 Thv 26mm W/command System 61 36 $105,625.00 — $93,002.81 $104,568.75 $99,604.38 2025-01-01
27800000002-90655 CDM Valve Sapien 3 Thv 23mm W/command System 61 36 $105,625.00 — $93,002.81 $104,568.75 $99,604.38 2025-01-01
27800000002-90659 CDM Valve Sapien 3 Thv 29mm W/command System 61 36 $105,625.00 — $93,002.81 $104,568.75 $99,604.38 2025-01-01
27800000002-89078 CDM Valve Aortic 34mm Evolut Fx 61 36 $97,987.50 — $86,277.99 $97,007.63 $92,402.21 2025-01-01
27800000002-91511 CDM Kit Mitraclip G4 Delivery Sys Xtw 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-91556 CDM Kit Mitraclip 2 Mbr0202 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-90154 CDM Kit Mitraclip 1 Mbr0301 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-90155 CDM Kit Mitraclip 3 Mbr0203 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-90151 CDM Kit Mitraclip 1 Mbr0101 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-90556 CDM Valve Aort 26mm Pro Perc 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-91555 CDM Kit Mitraclip 2 Mbr0202 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-91247 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-90559 CDM Valve Aort 34mm Evolutr 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-90558 CDM Valve Aort 29mm Pro Perc 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-90157 CDM Kit Mitraclp 2 Sgc0301 Cds0501 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-90152 CDM Kit Mitraclip 1 Mbr0201 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-90837 CDM Valve Aortic Evolut Tm Pro 29mm 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-91435 CDM Kit Mitraclip 1 Mbr0303 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-90156 CDM Kit Mitraclp 1 Sgc0301 Cds0501 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-89080 CDM Valve Aortic 23mm Evolut Fx 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-89075 CDM Valve Aortic 26mm Evolut Fx 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-89076 CDM Valve Aortic 29mm Evolut Fx 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-90153 CDM Kit Mitraclip 1 Mbr0301 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-91517 CDM Kit Mitraclip G4 Delivery Sys Nt 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27800000002-90158 CDM Kit Mitraclp 3 Sgc0301 Cds0501 61 36 $97,500.00 — $85,848.75 $96,525.00 $91,942.50 2025-01-01
27200000002-21552 CDM Hemostat D Stat Flowable 0330 61 36 $87,500.00 — $77,043.75 $86,625.00 $82,512.50 2025-01-01
C1824 HCPCS Kit Ipg Optimizer Smart Mini 61 36 $84,500.00 — $74,402.25 $83,655.00 $79,683.50 2025-01-01
27800000002-91577 CDM Implant Gammatile Therapy Device 4pk 61 36 $84,500.00 — $74,402.25 $83,655.00 $79,683.50 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 61 36 $83,782.00 — $73,770.05 $82,944.18 $79,006.43 2025-01-01
J9600 HCPCS Porfimer Per 75 Mg 61 36 $82,476.76 — $72,620.79 $81,651.99 $77,775.58 2025-01-01
27800000002-90656 CDM Valve Sapien 3 Thv 26mm W/command System 61 36 $81,250.00 — $71,540.63 $80,437.50 $76,618.75 2025-01-01
27800000002-91991 CDM Set Pump Aic Impella 5.0 61 36 $81,250.00 — $71,540.63 $80,437.50 $76,618.75 2025-01-01
27800000002-90269 CDM Set Pump Impella Cp 61 36 $81,250.00 — $71,540.63 $80,437.50 $76,618.75 2025-01-01
27800000002-90271 CDM Set Pump Impella Cp 61 36 $81,250.00 — $71,540.63 $80,437.50 $76,618.75 2025-01-01
27800000002-90267 CDM Set Pump Impella Cp 61 36 $81,250.00 — $71,540.63 $80,437.50 $76,618.75 2025-01-01
27800000002-91232 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 61 36 $81,250.00 — $71,540.63 $80,437.50 $76,618.75 2025-01-01
27800000002-91990 CDM Set Pump Aic Impella 5.0 61 36 $81,250.00 — $71,540.63 $80,437.50 $76,618.75 2025-01-01
27800000002-90654 CDM Valve Sapien 3 Thv 23mm W/command System 61 36 $81,250.00 — $71,540.63 $80,437.50 $76,618.75 2025-01-01
27800000002-90268 CDM Set Pump Impella Cp 61 36 $81,250.00 — $71,540.63 $80,437.50 $76,618.75 2025-01-01
27800000002-91235 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 61 36 $81,250.00 — $71,540.63 $80,437.50 $76,618.75 2025-01-01
27800000002-90658 CDM Valve Sapien 3 Thv 29mm W/command System 61 36 $81,250.00 — $71,540.63 $80,437.50 $76,618.75 2025-01-01
27800000002-90270 CDM Set Pump Impella Cp 61 36 $81,250.00 — $71,540.63 $80,437.50 $76,618.75 2025-01-01
A9604 HCPCS Samarium Sm-153 Lexidronam Therapeutic Per 150 Millicuries 61 36 $75,075.84 — $66,104.28 $74,325.08 $70,796.52 2025-01-01
27800000002-89079 CDM Valve Aortic 23mm Evolut Fx 61 36 $75,000.00 — $66,037.50 $74,250.00 $70,725.00 2025-01-01
27800000002-90836 CDM Valve Aortic Evolut Tm Pro 26mm 61 36 $75,000.00 — $66,037.50 $74,250.00 $70,725.00 2025-01-01
27800000002-89077 CDM Valve Aortic 34mm Evolut Fx 61 36 $75,000.00 — $66,037.50 $74,250.00 $70,725.00 2025-01-01
27800000002-90838 CDM Valve Aortic Evolut Tm Pro 34mm 61 36 $75,000.00 — $66,037.50 $74,250.00 $70,725.00 2025-01-01
J9298 HCPCS Opdualag Per 1 Each 61 36 $74,696.95 — $65,770.66 $73,949.98 $70,439.22 2025-01-01
27200000002-21145 CDM Glv Surg Orth Ltx Maxxus 8.5 61 36 $74,258.59 — $65,384.69 $73,516.00 $70,025.85 2025-01-01
A9606 HCPCS Radium Ra-223 Dichloride Therapeutic Per Microcurie 61 36 $72,882.53 — $64,173.07 $72,153.70 $68,728.23 2025-01-01
27200000002-28034 CDM Clip Lig Ti Horizon Sm 6/cq 61 36 $71,250.00 — $62,735.63 $70,537.50 $67,188.75 2025-01-01
J9359 HCPCS Loncastuximab-lpyl 0.1 Mg 61 36 $67,591.03 — $59,513.90 $66,915.12 $63,738.34 2025-01-01
27000000004-1176 CDM Drape Surg W/17 5/8x11.75in Towl Ster 61 36 $66,068.70 — $58,173.49 $65,408.01 $62,302.78 2025-01-01
27800000002-89069 CDM Watchman Flx Procedure - Device 61 36 $65,100.00 — $57,320.55 $64,449.00 $61,389.30 2025-01-01
C1822 HCPCS Kit Ipg Omnia 305 36 $65,000.00 — $12,861.90 $83,655.00 $61,295.00 2025-01-01
27800000002-91485 CDM Stent Graft Confrm Thor 45x45x15 24f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91465 CDM Stent Graft Confrm Thor 31x31x10 20f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91484 CDM Stent Graft Confrm Thor 45x45x15 24f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91562 CDM Stent Graft Confrm Thor 37x37x20 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91518 CDM Stent Graft Confrm Thor 26x26x10 20f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91494 CDM Stent Graft Confrm Thor 34x34x10 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91444 CDM Stent Graft Confrm Thor 40x40x15 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91486 CDM Stent Graft Confrm Thor 45x45x15 24f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-89038 CDM Stent Graft Confrm Thor 40x40x20 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91563 CDM Stent Graft Confrm Thor 37x37x20 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91487 CDM Stent Graft Confrm Thor 37x37x10 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91490 CDM Stent Graft Confrm Thor 45x45x10 24f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91448 CDM Stent Graft Confrm Thor 40x40x10 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91432 CDM Stent Graft Confrm Thor 34x34x15 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91443 CDM Stent Graft Confrm Thor 40x40x15 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91565 CDM Stent Graft Confrm Thor 34x34x20 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91447 CDM Stent Graft Confrm Thor 40x40x10 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91466 CDM Stent Graft Confrm Thor 21x21x10 18f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91433 CDM Stent Graft Confrm Thor 34x34x15 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91607 CDM Stent Graft Confrm Thor 45x45x20 24f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91564 CDM Stent Graft Confrm Thor 34x34x20 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91503 CDM Stent Graft Confrm Thor 28x28x15 20f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91492 CDM Stent Graft Confrm Thor 28x28x10 20f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91495 CDM Stent Graft Confrm Thor 34x34x10 22f 61 36 $64,015.00 — $56,365.21 $63,374.85 $60,366.15 2025-01-01
27800000002-91560 CDM Stent Valiant Navion Vnmf4343c183tu Freeflo 175mm 61 36 $62,984.25 — $55,457.63 $62,354.41 $59,394.15 2025-01-01
27800000002-90265 CDM Set Pump Impella Cp 61 36 $62,500.00 — $55,031.25 $61,875.00 $58,937.50 2025-01-01
27800000002-90266 CDM Set Pump Impella Cp 61 36 $62,500.00 — $55,031.25 $61,875.00 $58,937.50 2025-01-01
27800000002-89042 CDM Plug Cardiac Amulet Amplatzer 20mm 61 36 $60,424.00 — $53,203.33 $59,819.76 $56,979.83 2025-01-01
27800000002-89043 CDM Plug Cardiac Amulet Amplatzer 20mm 61 36 $60,424.00 — $53,203.33 $59,819.76 $56,979.83 2025-01-01
27800000002-88975 CDM Plug Cardiac Amulet Amplatzer 22mm 61 36 $60,424.00 — $53,203.33 $59,819.76 $56,979.83 2025-01-01
27800000002-88976 CDM Plug Cardiac Amulet Amplatzer 18mm 61 36 $60,424.00 — $53,203.33 $59,819.76 $56,979.83 2025-01-01
27800000002-88977 CDM Plug Cardiac Amulet Amplatzer 18mm 61 36 $60,424.00 — $53,203.33 $59,819.76 $56,979.83 2025-01-01
27800000002-89213 CDM Coil Web Sgl Layer 6x2mm 61 36 $54,845.88 — $48,291.80 $54,297.42 $51,719.66 2025-01-01
27000000004-1177 CDM Drape Surg W/17 5/8x11.75in Towl Ster 61 36 $53,078.20 — $46,735.36 $52,547.42 $50,052.74 2025-01-01
27800000002-89062 CDM Conduit Konect Resilia Aortic Vlv 23mm 61 36 $52,500.00 — $46,226.25 $51,975.00 $49,507.50 2025-01-01
27800000002-89196 CDM Conduit Konect Resilia Aortic Vlv 27mm 61 36 $52,500.00 — $46,226.25 $51,975.00 $49,507.50 2025-01-01
27800000002-90902 CDM Coil Web Sngl Layer 9x4 61 36 $52,325.00 — $46,072.16 $51,801.75 $49,342.48 2025-01-01
27800000002-89711 CDM Coil Web Sngl Layer 5x4 61 36 $52,325.00 — $46,072.16 $51,801.75 $49,342.48 2025-01-01
27800000002-89712 CDM Coil Web Sngl Layer 9x5 61 36 $52,325.00 — $46,072.16 $51,801.75 $49,342.48 2025-01-01
27800000002-88996 CDM Device Embol Pipeline Flex 4.25x25mm 61 36 $51,707.25 — $45,528.23 $51,190.18 $48,759.94 2025-01-01
27800000002-89709 CDM Coil Web Sngl Layer 10x5 61 36 $49,708.75 — $43,768.55 $49,211.66 $46,875.35 2025-01-01
27800000002-89710 CDM Coil Web Sngl Layer 11x6 61 36 $49,708.75 — $43,768.55 $49,211.66 $46,875.35 2025-01-01
L8614 HCPCS Dornhoffer Fixed Part W/window 427 36 $48,329.75 — $115.62 $63,970.83 $45,574.95 2025-01-01
27800000002-89000 CDM Device Embol Pipeline Flex 4x10mm 61 36 $48,234.38 — $42,470.37 $47,752.04 $45,485.02 2025-01-01
27800000002-88994 CDM Device Embol Pipeline Flex 4.25x14mm 61 36 $48,234.38 — $42,470.37 $47,752.04 $45,485.02 2025-01-01
27800000002-88995 CDM Device Embol Pipeline Flex 3x16mm 61 36 $48,234.38 — $42,470.37 $47,752.04 $45,485.02 2025-01-01
27800000002-89010 CDM Device Embol Pipeline Flex 4x16mm 61 36 $48,234.38 — $42,470.37 $47,752.04 $45,485.02 2025-01-01
27800000002-89019 CDM Device Embol Pipeline Flex 4.25x20mm 61 36 $48,234.38 — $42,470.37 $47,752.04 $45,485.02 2025-01-01
27800000002-88989 CDM Device Embol Pipeline Flex 4.5x18mm 61 36 $48,234.38 — $42,470.37 $47,752.04 $45,485.02 2025-01-01
27800000002-88997 CDM Device Embol Pipeline Flex 4.5x12mm 61 36 $48,234.38 — $42,470.37 $47,752.04 $45,485.02 2025-01-01
27800000002-89002 CDM Device Embol Pipeline Flex 4x12mm 61 36 $48,234.38 — $42,470.37 $47,752.04 $45,485.02 2025-01-01
27800000002-89197 CDM Kit Ipg Pulse Senza Sys 61 36 $47,229.00 — $41,585.13 $46,756.71 $44,536.95 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 61 36 $47,146.65 — $41,512.63 $46,675.18 $44,459.29 2025-01-01
27000000004-1301 CDM Marker Skin 1.5mm Arrow D Spot Lead Sm 99/bx 61 36 $46,865.70 — $41,265.25 $46,397.04 $44,194.36 2025-01-01
27000000004-2122 CDM Tube Insufl Std Filt 10ft Ster 61 36 $46,865.70 — $41,265.25 $46,397.04 $44,194.36 2025-01-01
27800000002-89224 CDM Vein Saphns 85cm Or Greater A B Ab O Bld Type 61 36 $46,838.16 — $41,241.00 $46,369.78 $44,168.38 2025-01-01
27200000002-18300 CDM Set Tubing Cardiovasc Proc Kit Bld Syst Vein 50-70cm 61 36 $46,838.16 — $41,241.00 $46,369.78 $44,168.38 2025-01-01
27200000002-18301 CDM Set Tubing Cardiovasc Proc Kit Bld Syst Vein 50-70cm 61 36 $46,371.50 — $40,830.11 $45,907.79 $43,728.32 2025-01-01
27800000002-89225 CDM Vein Saphns 85cm Or Greater A B Ab O Bld Type 61 36 $46,371.50 — $40,830.11 $45,907.79 $43,728.32 2025-01-01
27800000002-89743 CDM Device Embol 3.75x12 Pipeline 61 36 $45,937.50 — $40,447.97 $45,478.13 $43,319.06 2025-01-01
27800000002-89752 CDM Device Embol 4x14mm Pipeline 61 36 $45,937.50 — $40,447.97 $45,478.13 $43,319.06 2025-01-01
27800000002-91446 CDM Stent Graft Confrm Thor 40x40x10 22f 61 36 $45,725.00 — $40,260.86 $45,267.75 $43,118.68 2025-01-01
27800000002-91561 CDM Stent Graft Confrm Thor 37x37x20 22f 61 36 $45,725.00 — $40,260.86 $45,267.75 $43,118.68 2025-01-01
27800000002-89037 CDM Stent Graft Confrm Thor 40x40x20 22f 61 36 $45,725.00 — $40,260.86 $45,267.75 $43,118.68 2025-01-01
27800000002-91464 CDM Stent Graft Confrm Thor 31x31x10 20f 61 36 $45,725.00 — $40,260.86 $45,267.75 $43,118.68 2025-01-01
27800000002-91491 CDM Stent Graft Confrm Thor 28x28x10 20f 61 36 $45,725.00 — $40,260.86 $45,267.75 $43,118.68 2025-01-01
27800000002-91502 CDM Stent Graft Confrm Thor 28x28x15 20f 61 36 $45,725.00 — $40,260.86 $45,267.75 $43,118.68 2025-01-01
27200000002-17552 CDM Cannula Angiovac 180d Dilator 61 36 $45,500.00 — $40,062.75 $45,045.00 $42,906.50 2025-01-01
C2616 HCPCS Brachytherapy Source Non-stranded Yttrium-90 Per Source 61 36 $44,461.00 — $39,147.91 $44,016.39 $41,926.72 2025-01-01
27100000002-663 CDM Glv Exam Pow Ltx Sm 61 36 $43,692.98 — $38,471.67 $43,256.05 $41,202.48 2025-01-01
27200000002-31348 CDM Electrd Lapscp Lwire 33cm Ez Cln Disp 61 36 $43,692.98 — $38,471.67 $43,256.05 $41,202.48 2025-01-01
27800000002-89067 CDM Watchman Flx Procedure - Device 61 36 $42,500.00 — $37,421.25 $42,075.00 $40,077.50 2025-01-01
27800000002-89194 CDM Device Watchman Flx Pro Procedure 61 36 $42,500.00 — $37,421.25 $42,075.00 $40,077.50 2025-01-01
27800000002-89068 CDM Watchman Flx Procedure - Device 61 36 $42,500.00 — $37,421.25 $42,075.00 $40,077.50 2025-01-01
27800000002-88920 CDM Device Clsur Watchman Flx Laa 20mm 61 36 $42,500.00 — $37,421.25 $42,075.00 $40,077.50 2025-01-01
27200000002-17628 CDM Set Circuit Adv Hls Beq-hls 7050 7.0 61 36 $41,795.60 — $36,801.03 $41,377.64 $39,413.25 2025-01-01
27200000002-17627 CDM Set Circuit Adv Hls Beq-hls 7050 7.0 61 36 $41,300.00 — $36,364.65 $40,887.00 $38,945.90 2025-01-01
27200000002-17629 CDM Set Circuit Adv Hls Beq-hls 7050 7.0 61 36 $41,300.00 — $36,364.65 $40,887.00 $38,945.90 2025-01-01
27800000002-91431 CDM Graft Stent Body Aortic Alto Pma 29mm 61 36 $40,246.50 — $35,437.04 $39,844.04 $37,952.45 2025-01-01
27800000002-91430 CDM Graft Stent Body Aortic Alto Pma 29mm 61 36 $40,246.50 — $35,437.04 $39,844.04 $37,952.45 2025-01-01
27800000002-90393 CDM Stent Graft 22-80-20-40mm Afx2 Bifurcated 61 36 $38,325.00 — $33,745.16 $37,941.75 $36,140.48 2025-01-01
27800000002-90391 CDM Stent Graft 22-70-16-30mm Afx2 Bifurcated 61 36 $38,325.00 — $33,745.16 $37,941.75 $36,140.48 2025-01-01
27800000002-90387 CDM Stent Graft 22-40-13-40mm Afx2 Bifurcated 61 36 $38,325.00 — $33,745.16 $37,941.75 $36,140.48 2025-01-01
27800000002-90397 CDM Stent Graft 25-70-16-30mm Afx2 Bifurcated 61 36 $38,325.00 — $33,745.16 $37,941.75 $36,140.48 2025-01-01
27800000002-90399 CDM Stent Graft 25-80-16-40mm Afx2 Bifurcated 61 36 $38,325.00 — $33,745.16 $37,941.75 $36,140.48 2025-01-01
27800000002-90390 CDM Stent Graft 22-60-13-40mm Afx2 Bifurcated 61 36 $38,325.00 — $33,745.16 $37,941.75 $36,140.48 2025-01-01
27800000002-90396 CDM Stent Graft 25-100-16-40mm Afx2 Bifurcated 61 36 $38,325.00 — $33,745.16 $37,941.75 $36,140.48 2025-01-01
27800000002-90402 CDM Stent Graft 28-60-16-40mm Afx2 Bifurcated 61 36 $38,325.00 — $33,745.16 $37,941.75 $36,140.48 2025-01-01
27800000002-90392 CDM Stent Graft 22-70-16-30mm Afx2 Bifurcated 61 36 $38,325.00 — $33,745.16 $37,941.75 $36,140.48 2025-01-01
27800000002-90389 CDM Stent Graft 22-60-13-40mm Afx2 Bifurcated 61 36 $38,325.00 — $33,745.16 $37,941.75 $36,140.48 2025-01-01
27800000002-90395 CDM Stent Graft 22-80-20-40mm Afx2 Bifurcated 61 36 $38,325.00 — $33,745.16 $37,941.75 $36,140.48 2025-01-01
27800000002-90403 CDM Stent Graft 28-70-16-30mm Afx2 Bifurcated 61 36 $38,325.00 — $33,745.16 $37,941.75 $36,140.48 2025-01-01
27800000002-90719 CDM Device Epi-sense 3cm Guide 61 36 $37,800.00 — $33,282.90 $37,422.00 $35,645.40 2025-01-01
27800000002-89988 CDM Excluder Aort C3 26x14.5x14cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89976 CDM Excluder Aort C3 26x12x14cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89967 CDM Excluder Aort C3 23x14.5x14cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89992 CDM Excluder Aort C3 28x12x16cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89978 CDM Excluder Aort C3 26x12x16cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89964 CDM Excluder Aort C3 23x14.5x12cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90055 CDM Excluder Aort Ibc 23x14x10 Fa 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90023 CDM Excluder Aort C3 35x14.5x16cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90723 CDM Excluder Aort C3 35x14.5x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-91975 CDM Excluder Aort C3 23x12x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89981 CDM Excluder Aort C3 26x14.5x12cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90003 CDM Excluder Aort C3 28x14.5x16cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90796 CDM Excluder Aort C3 28x14.5x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-91976 CDM Excluder Aort C3 23x12x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90005 CDM Excluder Aort C3 28x14.5x16cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90013 CDM Excluder Aort C3 31x14.5x15cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90015 CDM Excluder Aort C3 31x14.5x15cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89969 CDM Excluder Aort C3 23x14.5x14cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90797 CDM Excluder Aort C3 28x14.5x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89965 CDM Excluder Aort C3 23x14.5x12cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90017 CDM Excluder Aort C3 31x14.5x17cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89997 CDM Excluder Aort C3 28x14.5x12cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89984 CDM Excluder Aort C3 26x14.5x12cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-91269 CDM Excluder Aort C3 28x12x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-91877 CDM Excluder Aort C3 23x14.5x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-91271 CDM Excluder Aort C3 28x12x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90016 CDM Excluder Aort C3 31x14.5x17cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90721 CDM Excluder Aort C3 35x14.5x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-91146 CDM Excluder Aort C3 26x12x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89985 CDM Excluder Aort C3 26x14.5x12cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89972 CDM Excluder Aort C3 23x14.5x16cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89973 CDM Excluder Aort C3 23x14.5x16cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-91147 CDM Excluder Aort C3 26x12x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89995 CDM Excluder Aort C3 28x14.5x12cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90020 CDM Excluder Aort C3 35x14.5x14cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89971 CDM Excluder Aort C3 23x14.5x16cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89960 CDM Excluder Aort C3 23x12x16cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90007 CDM Excluder Aort C3 31x14.5x13cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90001 CDM Excluder Aort C3 28x14.5x14cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89991 CDM Excluder Aort C3 26x14.5x16cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89994 CDM Excluder Aort C3 28x14.5x12cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90056 CDM Excluder Aort Ibc 23x14x10 Fa 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90000 CDM Excluder Aort C3 28x14.5x14cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-91699 CDM Excluder Aort C3 26x14.5x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90052 CDM Excluder Aort Ibc 23x14x10 Fa 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90050 CDM Excluder Aort Ibc 23x12x10 Fa 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90722 CDM Excluder Aort C3 35x14.5x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90047 CDM Excluder Aort Ibc 23x12x10 Fa 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90720 CDM Device Epi-sense 3cm Guide 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-91270 CDM Excluder Aort C3 28x12x18cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-89974 CDM Excluder Aort C3 23x14.5x16cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90019 CDM Excluder Aort C3 35x14.5x14cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90044 CDM Excluder Aort Ibc 23x10x10 Fa 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90009 CDM Excluder Aort C3 31x14.5x13cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90021 CDM Excluder Aort C3 35x14.5x16cm 61 36 $37,500.00 — $33,018.75 $37,125.00 $35,362.50 2025-01-01
27800000002-90051 CDM Excluder Aort Ibc 23x14x10 Fa 61 36 $37,481.25 — $33,002.24 $37,106.44 $35,344.82 2025-01-01
27800000002-90046 CDM Excluder Aort Ibc 23x12x10 Fa 61 36 $37,481.25 — $33,002.24 $37,106.44 $35,344.82 2025-01-01
27800000002-90042 CDM Excluder Aort Ibc 23x10x10 Fa 61 36 $37,481.25 — $33,002.24 $37,106.44 $35,344.82 2025-01-01
27100000002-796 CDM Processor Kanso Cp950 Slate Grey 61 36 $36,750.00 — $32,358.38 $36,382.50 $34,655.25 2025-01-01
A9504 HCPCS Technetium Tc-99m Apcitide Diagnostic Per Study Dose Up To 20 Millicuries 61 36 $34,966.40 — $30,787.92 $34,616.74 $32,973.32 2025-01-01
7011434001 NDC Toripalimab-tpzi 240 Mg/6 Ml (40 mg/mL) Solution 6 Ml Vial 61 36 $34,856.76 — $30,691.38 $34,508.19 $32,869.92 2025-01-01
27800000002-91621 CDM System Mntr Heartmate Ii 61 36 $34,323.75 — $30,222.06 $33,980.51 $32,367.30 2025-01-01
C1882 HCPCS Icd Crtd Cobalt Xt Hf Quad MRI Is4 Df4 2,013 36 $35,512.00 — $22,410.68 $57,505.14 $32,333.68 2025-01-01
27800000002-90315 CDM Stent Endur Aaa Bif 28x14x103 61 36 $33,665.63 — $29,642.59 $33,328.97 $31,746.69 2025-01-01
27800000002-91455 CDM Stent Endur Ii Aui 23x14x102 61 36 $33,665.63 — $29,642.59 $33,328.97 $31,746.69 2025-01-01
27800000002-91901 CDM Stent Endur Ii Bif 32x16x124 Bifurcated 61 36 $33,665.63 — $29,642.59 $33,328.97 $31,746.69 2025-01-01
27800000002-91954 CDM Stent Endur Ii Bif 28x13x166 Bifurcated 61 36 $33,665.63 — $29,642.59 $33,328.97 $31,746.69 2025-01-01
27800000002-91872 CDM Stent Endur Ii Bif 32x16x166 Bifurcated 61 36 $33,665.63 — $29,642.59 $33,328.97 $31,746.69 2025-01-01
27800000002-91332 CDM Stent Endur Ii Aui 32x14x102 61 36 $33,665.63 — $29,642.59 $33,328.97 $31,746.69 2025-01-01
27800000002-91808 CDM Stent Endur Ii Bif 28x16x166 Bifurcated 61 36 $33,665.63 — $29,642.59 $33,328.97 $31,746.69 2025-01-01
27800000002-91955 CDM Stent Endur Ii Bif 28x13x166 Bifurcated 61 36 $33,665.63 — $29,642.59 $33,328.97 $31,746.69 2025-01-01
27800000002-91327 CDM Stent Endur Ii Bif 23x13x124 61 36 $33,665.63 — $29,642.59 $33,328.97 $31,746.69 2025-01-01
27800000002-91817 CDM Stent Endur Ii Bif 28x13x145 Bifurcated 61 36 $33,665.63 — $29,642.59 $33,328.97 $31,746.69 2025-01-01
27800000002-90305 CDM Stent Endur Aaa Bif 23x14x103 61 36 $33,463.65 — $29,464.74 $33,129.01 $31,556.22 2025-01-01
27800000002-90319 CDM Stent Endur Aaa Bif 32x14x103 61 36 $33,429.98 — $29,435.10 $33,095.68 $31,524.47 2025-01-01
27800000002-88950 CDM Valve Heart Sutrlss Sm 61 36 $33,375.00 — $29,386.69 $33,041.25 $31,472.63 2025-01-01
27800000002-90324 CDM Stent Endur Aaa Bif 36x14x103 61 36 $33,362.63 — $29,375.80 $33,029.00 $31,460.96 2025-01-01
27800000002-90308 CDM Stent Endur Aaa Bif 25x14x103 61 36 $33,362.63 — $29,375.80 $33,029.00 $31,460.96 2025-01-01
27800000002-91675 CDM Stent Graft Confrm Thor 26x21x10 20f 61 36 $33,104.90 — $29,148.86 $32,773.85 $31,217.92 2025-01-01
27800000002-90595 CDM Valve Aortic Inspiris 23 23mm 61 36 $33,037.50 — $29,089.52 $32,707.13 $31,154.36 2025-01-01
27800000002-90601 CDM Valve Aortic Inspiris 25 25mm 61 36 $33,037.50 — $29,089.52 $32,707.13 $31,154.36 2025-01-01
27800000002-90607 CDM Valve Aortic Inspiris 27 27mm 61 36 $33,037.50 — $29,089.52 $32,707.13 $31,154.36 2025-01-01
27200000002-17551 CDM Cannula Angiovac 180d Dilator 61 36 $32,500.00 — $28,616.25 $32,175.00 $30,647.50 2025-01-01
27200000002-17550 CDM Cannula Angiovac 20d Dilator P 61 36 $32,500.00 — $28,616.25 $32,175.00 $30,647.50 2025-01-01
J9325 HCPCS Talimogene Laherparepvec Per 1 Million Pfu 122 36 $684.03 — $602.29 $67,710.24 $30,449.13 2025-01-01
27800000002-91958 CDM Valve Aortic Perceval Med 61 36 $31,856.25 — $28,049.43 $31,537.69 $30,040.44 2025-01-01
27200000002-17625 CDM Set Circuit Adv Hls Beq-hls 7050 7.0 61 36 $30,385.00 — $26,753.99 $30,081.15 $28,653.06 2025-01-01
27200000002-17624 CDM Set Circuit Adv Hls Beq-hls 7050 7.0 61 36 $30,385.00 — $26,753.99 $30,081.15 $28,653.06 2025-01-01
27200000002-17626 CDM Set Circuit Adv Hls Beq-hls 7050 7.0 61 36 $30,385.00 — $26,753.99 $30,081.15 $28,653.06 2025-01-01
C1820 HCPCS Adaptive Stim Implantable Neurostimulator 1,525 36 $29,085.23 — $633.96 $81,248.31 $28,312.02 2025-01-01
27800000002-91695 CDM Vale Heart Intuity Elite 19mm 61 36 $30,000.00 — $26,415.00 $29,700.00 $28,290.00 2025-01-01
27800000002-91787 CDM Vale Heart Intuity Elite 23mm 61 36 $30,000.00 — $26,415.00 $29,700.00 $28,290.00 2025-01-01
27800000002-91786 CDM Vale Heart Intuity Elite 23mm 61 36 $30,000.00 — $26,415.00 $29,700.00 $28,290.00 2025-01-01
27200000002-18316 CDM Cath Pulsed Fld Ablation Farawave 31mm 61 36 $29,575.00 — $26,040.79 $29,279.25 $27,889.23 2025-01-01
27200000002-18317 CDM Cath Pulsed Fld Ablation Farawave 35mm 61 36 $29,575.00 — $26,040.79 $29,279.25 $27,889.23 2025-01-01
27800000002-90593 CDM Valve Aortic Inspiris 23 23mm 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-90587 CDM Valve Aortic Inspiris 21 21mm 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-90589 CDM Valve Aortic Inspiris 21 21mm 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-90605 CDM Valve Aortic Inspiris 27 27mm 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-90610 CDM Valve Aortic Inspiris 29 29mm 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-90581 CDM Valve Aortic Inspiris 19 19mm 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-90600 CDM Valve Aortic Inspiris 25 25mm 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-90583 CDM Valve Aortic Inspiris 19 19mm 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-90596 CDM Valve Aortic Inspiris 23 23mm 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-90602 CDM Valve Aortic Inspiris 25 25mm 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-89072 CDM Valve Mitral Mitris Resilia Sz 31 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-89070 CDM Valve Mitral Mitris Resilia Sz 29 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-90611 CDM Valve Aortic Inspiris 29 29mm 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
27800000002-89071 CDM Valve Mitral Mitris Resilia Sz 33 61 36 $29,231.25 — $25,738.12 $28,938.94 $27,565.07 2025-01-01
J9272 HCPCS Inj Dostarlimab-gxly 100 Mg 61 36 $29,134.52 — $25,652.94 $28,843.17 $27,473.85 2025-01-01
J9042 HCPCS Brentuximab Vedotin Per 1 Mg 61 36 $29,046.14 — $25,575.13 $28,755.68 $27,390.51 2025-01-01
27200000002-30508 CDM Cath Drn 22fr Angiovac Venous 20deg Cannula Coil Reinforced 61 36 $28,750.00 — $25,314.38 $28,462.50 $27,111.25 2025-01-01
27800000002-91429 CDM Graft Stent Body Aortic Alto Pma 29mm 61 36 $28,747.50 — $25,312.17 $28,460.03 $27,108.89 2025-01-01
27800000002-92065 CDM Device Ifd Nanolock 7d Xlrg 11mm 61 36 $28,125.00 — $24,764.06 $27,843.75 $26,521.88 2025-01-01
27800000002-92066 CDM Device Ifd Nanolock 7d Xlrg 11mm 61 36 $28,125.00 — $24,764.06 $27,843.75 $26,521.88 2025-01-01
27800000002-88909 CDM Device Ifd Nanolock 7d Std 10mm 61 36 $28,125.00 — $24,764.06 $27,843.75 $26,521.88 2025-01-01
27800000002-88914 CDM Device Ifd Nanolock 12d Std 12mm 61 36 $28,125.00 — $24,764.06 $27,843.75 $26,521.88 2025-01-01
27800000002-90388 CDM Stent Graft 22-60-13-40mm Afx2 Bifurcated 61 36 $27,375.00 — $24,103.69 $27,101.25 $25,814.63 2025-01-01
27800000002-90386 CDM Stent Graft 22-40-13-40mm Afx2 Bifurcated 61 36 $27,375.00 — $24,103.69 $27,101.25 $25,814.63 2025-01-01
27800000002-90400 CDM Stent Graft 28-110-16-30mm Afx2 Bifurcated 61 36 $27,375.00 — $24,103.69 $27,101.25 $25,814.63 2025-01-01
27800000002-90404 CDM Stent Graft 28-80-16-40mm Afx2 Bifurcated 61 36 $27,375.00 — $24,103.69 $27,101.25 $25,814.63 2025-01-01
27800000002-90398 CDM Stent Graft 25-80-13-40mm Afx2 Bifurcated 61 36 $27,375.00 — $24,103.69 $27,101.25 $25,814.63 2025-01-01
C1817 HCPCS Cath Septl Occl Amplatzer 22mm 9f 45deg Crv 671 36 $27,750.00 — $2,852.82 $37,106.44 $25,382.93 2025-01-01
7315015006 NDC Injection Ublituximab-xiiy 1 Mg 61 36 $26,914.33 — $23,698.07 $26,645.19 $25,380.21 2025-01-01
27800000002-89014 CDM Device Embol Pipeline Flex 4.5x25mm 61 36 $26,740.04 — $23,544.61 $26,472.64 $25,215.86 2025-01-01
27800000002-89004 CDM Device Embol Pipeline Flex 5x30mm 61 36 $26,740.04 — $23,544.61 $26,472.64 $25,215.86 2025-01-01
27800000002-89003 CDM Device Embol Pipeline Flex 5x30mm 61 36 $26,740.04 — $23,544.61 $26,472.64 $25,215.86 2025-01-01
C1721 HCPCS Icd Cobalt Xt Dr MRI Is1 Df4 1,586 36 $27,497.50 — $17,259.83 $44,487.14 $25,076.43 2025-01-01
27800000002-90903 CDM Coil Web Sngl Layer 9x4 61 36 $25,706.53 — $22,634.60 $25,449.46 $24,241.26 2025-01-01
27800000002-89989 CDM Excluder Aort C3 26x14.5x16cm 61 36 $25,625.00 — $22,562.81 $25,368.75 $24,164.38 2025-01-01
27800000002-90018 CDM Excluder Aort C3 35x14.5x14cm 61 36 $25,625.00 — $22,562.81 $25,368.75 $24,164.38 2025-01-01
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